Tuesday, November 7, 2017

Okay to Fill Early


I see prescriptions like this most every day now. It's an Rx for a narcotic that's been filled less than 30 days ago. In some cases we get these as early as two weeks from the last time it was filled. I honestly don't know what's going on in the mind of the prescriber. Perhaps they feel like they have to give the patient the benefit of the doubt, and that's certainly ok... to a point.


But I have to tell you prescribers out there... it would be nice if you started noting this in the patient's charts. Why? Because it's usually the same patients that are ALWAYS "going on vacation." In some cases it's EVERY time they bring in a narcotic prescription. Each one has an "ok to fill early." Are you aware that you're giving the go-ahead and fill it early month after month? Or do you just not care and want to leave the Deputy Dog part to me?

Sometimes I'm really inclined to think the latter.

I suppose I'm just spreading the narrative that good and honest people are being mislabeled. I'm the one with the problem here. Some libturd lawyer will tell you that NO ONE would ask for an early refill unless they were actually going out of town.

Yeaaaaaah. Right.

No, that's not reality. I know my patients. I know the problem patients. You might be able to fool the physician, but you won't fool me. I have told people that I don't care what the physician wrote on the prescription. I won't fill it if it's just way too early. And if you have a problem with that, then exercise your right to get it filled somewhere else.

7 comments:

jennifer said...

I ask out of innocence since I'm not a pharmacist: how can you fill it early when insurance dictates when it can be filled? Thanks!

Anonymous said...

After reading a lot of your posts about "early filling" I am curious : isn't there a system in place that lets you check whether a similar prescription has been filled and maybe provide only the amount of medication left after taking into account the overlap?
In France some narcotics (not all, sadly) require monthly prescription with the date of the previous prescription written on the new prescription. Plus written acknowledgment of the date of the last prescription on the new prescription in case of overlap (as in, I write "overlap of x days with the prescription from xx/xx/xxxx") or acknowledgment of dosage change if any.
I also thought I read something about monitoring programs : what do they do? identify problem patients and prescribers? just let providers check if someone had narcotics previously?

Anonymous said...

It’s these patients that in the not too distant future will make it impossible for legit pain patients to fill their scripts when needed. There are National chains all over the county. Why can’t the doc issue the vacation script “early” with this added note in the directions (DO NOT FILL UNTIL (insert date)). The patient can then fill it while away. I know that won’t work if they’re leaving the county but wouldn’t this help a little?

Anonymous said...

Interesting how some of these people with state-funded insurance manage to go out of town so frequently and for such long durations...

Anonymous said...

Interesting how a lot of these narcotics people with state-funded insurance manage to go out of town so frequently and for such long durations...

Anonymous said...

I would so love to see the word "libtard" replaced by "libTURD" - more accurate, perhaps, plus it doesn't disparage the mentally retarded, who can't help their condition and don't deserve to be conflated with someone one doesn't like...

Crazy RxMan said...

I agree, so I changed it.